LOS ANGELES — A clinic that caters to porn stars was shut down Thursday after losing its state license, county health officials said.

The cease and desist order was issued to the Adult Industry Medical Healthcare Foundation clinic by agents of the Los Angeles County Department of Public Health acting on behalf of the state, county health director Dr. Jonathan Fielding said.

Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring.

State officials told the clinic in May that it was operating under the wrong type of license and needed to reapply for a community clinic license, California Department of Public Health spokesman Al Lundeen said.

Since its 1998 opening, the San Fernando Valley clinic had operated under a physician's license.

The clinic submitted a new application in June but needed to provide additional information, Lundeen said.

For example, one element missing from clinic's application was a transfer agreement with a local hospital. Such agreements establish a plan for emergencies when a clinic patient requires immediate hospitalization.

Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring.

Separately, the clinic has come under fire for being reluctant to share information about HIV tests with state and local officials. The clinic says it has upheld federal medical privacy laws for patients.

Fielding said the clinic's closure will not result in better access to those records. He said officials still want to know "was everybody tested who needed to be, were they informed, were they counseled — we don't know exactly what's gone on."

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